| NPI | 1992174874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISRIN Q. DAHODWALA Medical Director 609-567-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00576000) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |