| NPI | 1457802639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI J MEHTA Owner 732-372-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08524100) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2018-10-06 |