| NPI | 1013367465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE OKPALA Healthcare Professional 862-254-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08035200) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |