| NPI | 1417564295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA S RAPHAEL Owner/ Sole Proprietor 201-844-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |