| NPI | 1760515639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WAYNE ROBINSON Owner 908-343-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NJ 25MA02906500) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NJ 25MA04542500) |
| 225100000X Physical Therapist (Licence: NJ 40QA00974100) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |