| NPI | 1588927370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GREEN Apn 732-235-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NJ 26NJ00007600) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-03-25 |