| NPI | 1649087685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ESMERALDA MENA AKYATAN Owner 973-870-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |