| NPI | 1649629668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA Z PADRON President 856-534-5819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1100X Clinic/Center Research | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |