| NPI | 1891097648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MEKKAWY President 973-778-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA04301600) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-12-01 |