| NPI | 1972653624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR SHARIF AHMAD President 732-422-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ MA062819) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA062819) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-08-17 |