NPI | 1023533635 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD STERNE Clinician 754-234-0155 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
Enumeration Date | 2017-08-04 |
Last Update Date | 2017-08-04 |