| NPI | 1053632380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL MOURAVSKI Practice Manager 973-953-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |