| NPI | 1518741792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAIL ASFOUR Owner 732-335-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-12-15 |