| NPI | 1417266982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALIT HARGOVIND MEHTA Owner 201-974-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MAO4054500) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-01-24 |