| NPI | 1467760843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN RENAY PARKER Chief Executive Officer 732-259-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00084000) |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2012-01-09 |