| NPI | 1760785398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA D CISNERO Owner/Physician 908-659-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08784000) |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2021-04-14 |