| NPI | 1770803405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAVEL NELSON Owner 908-625-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00029700) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |