| NPI | 1689100323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MILLS Manager 732-913-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00629000) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2026-02-12 |