| NPI | 1013188655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO L DEGOMA Owner 609-396-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA31053) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-06-26 |