| NPI | 1750985719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA EZEMADU Chief Executive Officer 609-900-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 246W00000X Technician, Cardiology | |
| 246Y00000X Spec/Tech, Health Info | |
| 247000000X Technician, Health Information | |
| 251B00000X Case Management | |
| 293D00000X Physiological Laboratory | |
| 305S00000X Point of Service | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 171M00000X Case Manager/Care Coordinator | |
| 171WH0202X Contractor, Home Modifications | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2022-01-14 |