| NPI | 1912447509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON MERTYL Owner 908-242-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |