| NPI | 1942891478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZFAR SYED Chief Executive Officer 445-213-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2023-04-12 |