| NPI | 1922622554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOUMA JALOU CEO/Medical Director 973-342-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-03-22 |