| NPI | 1750195707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN D KAUR Fnp 732-910-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-01 |