| NPI | 1891345740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIET AFRIYIE Chief Operating Officer 732-800-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-12-02 |