| NPI | 1568727147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JACQUELINE RODRIGUEZ President 201-590-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08837600) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |