| NPI | 1598157174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEERTI SHARMA Medical Director 973-971-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 363LG0600X) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |