| NPI | 1790253722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISAL NAGARWALA Owner 732-491-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-03-15 |