| NPI | 1750418406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN SELKE Owner Of Corporation 908-281-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA67608) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-04-03 |