| NPI | 1801466396 |
|---|---|
| Doing Business As | PRIVVY MODERN HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARIA NERISSA PRIETO President/Owner 732-322-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |