| NPI | 1821304593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A PAKISH Owner 609-883-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA04023300) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |