| NPI | 1578988481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARIA CLARK Office Manager 908-370-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00416900) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |