| NPI | 1053534198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO M MATIENZO President 201-659-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA075238) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-07-15 |