| NPI | 1467857870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMITA GUPTA Physician 267-207-0237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA09472900) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |