| NPI | 1801178207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON ACOSTA President 856-756-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA05116600) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |