| NPI | 1679852578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUNWEI WANG Owner 347-335-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA ko 000631) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |