| NPI | 1720365422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH NEVINS President 732-387-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MB52967) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |