| NPI | 1902971484 |
|---|---|
| Other Name | INDIVIDUAL PHYSICIAN RENDERING HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE GIARDINA Managing Member Medical Director To 732-914-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB05373700) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |