| NPI | 1932500071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KUO Medical Director 973-971-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 26NR14125800) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |