| NPI | 1831572726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINE FOTIOU Owner 848-203-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 38mc00482700) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |