| NPI | 1043257991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MYCK Administrative Assistant 973-940-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-11-29 |