| NPI | 1932499258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK NIERVA President 732-638-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 38MC00607900) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |