| NPI | 1508606997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO ESCOBAR Credentialing Officer 908-202-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health |
| 261QB0400X Clinic/Center Birthing | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |