| NPI | 1427308527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN COLLETON Owner 908-380-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00359700) |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2012-09-16 |