| NPI | 1003178922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO MALDONADO Managing Director 732-826-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07792000) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |