| NPI | 1760104988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RODRIGUEZ System Director Of Credentialing 201-821-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |