| NPI | 1770756280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDRES J LIM Owner 201-437-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ MA061225) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |