NPI | 1003956491 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK WIESEN President 201-836-5655 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ MA39378) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |