| 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 |