| NPI | 1053340851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN JOSEPH Physician/Owner 800-832-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101237678) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |