| NPI | 1699924647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN KHAZAI Owner 908-353-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 25MA06505500) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |