| NPI | 1720334550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMANSHU K PATEL President 732-864-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 0400485692) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2024-10-02 |