| NPI | 1740415249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAUTHAR RIGGINS-PASHA Admininstrator 201-780-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA07315400) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |