| NPI | 1518659663 |
|---|---|
| Doing Business As | HOLY TRINITY MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KANE Owner 201-370-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-12-08 |