| NPI | 1841213279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APOLINARIO MIRANDA President 609-561-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12224000) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |