| NPI | 1558510347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINNO DHAR President 772-240-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME101124) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-12-17 |