| NPI | 1992759708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA CRUZ Partner 609-584-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA05743) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |