| NPI | 1538361878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH RICCA Owner 732-264-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA05277600) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-09-23 |