| NPI | 1033268370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE LEE Office Manager 201-503-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ ma53599) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ ma45119) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 43165) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ ma53599) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-03-14 |