| NPI | 1720344690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO JORGE SANCHEZ Owner 201-991-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA06334400) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |