| NPI | 1619002490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIOS TSOMPANIDIS Owner 732-203-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06310800) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |