| NPI | 1679156632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIBI MATHEW Owner 201-417-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-08-21 |