| NPI | 1538289038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICISIMA GABATIN BARRERA-TOLENTINO Administrator 201-792-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25ma04592000) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-09-25 |