| NPI | 1033444021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE L EVANS Physician 973-808-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |