| NPI | 1619495520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QINDI SHI CFO 609-267-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-06-16 |