| NPI | 1669887543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANN KOLARSICK Owner 732-245-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NO06557200) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |