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 |