| NPI | 1790488625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IZIEGBE AHMED Md 908-242-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2025-01-25 |