| NPI | 1043762461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS L WILLIAMS Owner 551-246-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA06503600) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |