| NPI | 1679522775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP G WOODHAM Owner 201-342-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA67550) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-03-20 |