NPI | 1053510131 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMIE RACHUNOW Owner/President 973-575-7342 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 220017) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2009-03-17 |