| NPI | 1760180251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARL AKWAJA Nurse Practitioner 973-323-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-09-08 |