| NPI | 1467991703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR NABULSI Owner/CEO 973-715-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08768600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB08815300) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-12-13 |