| NPI | 1053365460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMTIAZ AHMAD Physician 6019-890-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ ma027421) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-10-18 |