| NPI | 1649619644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEDAYO ADERIBIGBE Medical Director 862-215-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA08693900) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-01-27 |