| NPI | 1003596479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDSEY ELIZABETH LORD Chief Operating Officer 973-714-1889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-10-30 |