| NPI | 1841528254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANTONIO SABIDO Owner 973-594-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25ma07696900) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ 25ma07696900) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2012-10-31 |