| NPI | 1487736104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN COY Owner/Pres 973-736-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25ma05695800) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |