| NPI | 1871826230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANTONIO SABIDO Owner 973-350-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NJ 25MA07696900) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07696900) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2012-11-01 |