| NPI | 1699663831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ZBOROWSKI COO 862-377-3713 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |