| NPI | 1942254347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWAHILI HENRY Director Provider Enrollment 908-988-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-10-10 |