| NPI | 1467129577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS M. BONGAH Advanced Practice Nurse. 862-955-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |