| NPI | 1598068744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRA KHENY Physician/Owner 856-910-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA04506900) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-10 |