| 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 |