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 |