| NPI | 1942493648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE BERNARDO Owner 732-683-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06069400) |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2007-08-26 |