| 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 |