| NPI | 1780931188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ANGELITO Owner 973-696-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 0400492155) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: NJ 0400492155) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |