| NPI | 1811655863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATHA ABUDAMOUS Owner 973-574-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2023-11-26 |