NPI | 1013517044 |
---|---|
Former Legal Business Name | EXCELLENCE MEDICAL CARE, PC |
Entity Type | Organization |
Authorized Contact | MAGDALENA BRYJAK Billing Manager 201-456-7363 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2020-10-28 |
Last Update Date | 2020-10-28 |