| NPI | 1972194215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE Y MOHAMMED Np/Owner 973-343-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-01-17 |