NPI | 1720286024 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCEDES ELENA CAMACHO President 201-325-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ NN92137) |
Enumeration Date | 2007-07-07 |
Last Update Date | 2008-03-20 |