| NPI | 1497980734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M WRY Owner 201-368-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06650300) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-12-23 |