| NPI | 1487797528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R RACCUGLIA President 732-780-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06096200) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-12-09 |