| NPI | 1427775451 |
|---|---|
| Doing Business As | FULL LIFE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SHEELU MATHEWS Manager 973-207-4589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-12-06 |