| NPI | 1063742765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON R. PICHARDO Medical Director 973-928-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03887500) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-02-25 |