| NPI | 1659979342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CALABRO Owner 732-212-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QP2000X Clinic/Center Physical Therapy | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2022-04-14 |