| NPI | 1689355661 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSEPH CALABRO Owner 732-212-0060  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 363LP2300X Nurse Practitioner, Primary Care | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2023-07-31 | 
| Last Update Date | 2023-07-31 |