| NPI | 1003455072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WIESEN Owner 201-564-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2023-08-07 |