NPI | 1881002301 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY RUSSO Office Manager 908-760-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
2083X0100X Preventive Medicine, Occupational Medicine | |
Enumeration Date | 2014-07-28 |
Last Update Date | 2015-10-13 |