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 |