| NPI | 1629361290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO TOMAS PEREZ Physician 201-656-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA02353300) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |