| NPI | 1861842536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA FRASIER Healthcare Provider 973-743-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00400600) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |