| NPI | 1720373053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M GOLDEN-TEVALD President 908-735-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25mb05179200) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-10-25 |