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 |