| NPI | 1780858191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE MCGOWAN Owner 973-843-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR07760600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 332171) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-06-05 |