| NPI | 1992920326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA F LEE Manager 732-698-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06952000) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |