| NPI | 1811207228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAREDES President 973-412-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MB06652600) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |