| NPI | 1063230563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAIED ABBASSI Credentialing Consultant 973-321-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |