| NPI | 1841613361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD CAESAR DETATA Staff Physician 609-407-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NJ 25MA0400540) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |