| NPI | 1609049345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS P. BORROMEO Medical Director 856-663-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA02665200) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-20 |