| NPI | 1518320555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAMIQ SULTAN Owner 856-887-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06336400) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00328900) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-10-17 |