| NPI | 1013936202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR O. BACANI President 732-557-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA04548600) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-10-26 |