| NPI | 1548546286 |
|---|---|
| Doing Business As | EDISON FAMILY PRACTICE PC |
| Entity Type | Organization |
| Authorized Contact | MARIA S FLORES DIEPPA Owner 732-548-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA45007) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2012-01-11 |