| NPI | 1730512443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE AIGBOVBIOISE UNUIGBE Medical Director 609-457-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2017-04-27 |