| NPI | 1962743963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM THOMAS Owner 973-625-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06949400) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |