| NPI | 1609746577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN RAMOS Physician Owner 201-887-4788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |