| NPI | 1689767139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN A ABDULGHANI Owner 856-740-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA077749) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-12-08 |