| NPI | 1003978347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE NICOLAS FUENTES President 973-900-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA060596) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-04-05 |