| NPI | 1962794420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS JACOB Owner 609-861-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ mb61909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN1202500) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |