| NPI | 1740523299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY EARL Owner/CEO 908-635-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2014-06-12 |