| NPI | 1871068726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA M IANCULOVICI CEO 732-292-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-11-07 |