NPI | 1821445594 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL ROSS Owner 732-222-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NJ MA04782100) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2019-05-03 |