| NPI | 1902299225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAVEL NELSON Owner 908-912-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00029700) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |