| NPI | 1790488625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IZIEGBE AHMED Md 908-242-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251E00000X Home Health | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-11-14 |