| NPI | 1629757323 |
|---|---|
| Doing Business As | SS |
| Doing Business As | STAT PRIMARY NP CLINIC |
| Entity Type | Organization |
| Authorized Contact | ASSAD MUJTABA President 973-310-9066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |