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 |