| NPI | 1992389183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES JACOB Director 973-241-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2025-01-21 |