| NPI | 1780435826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIR ASHOUR Physician 857-452-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |