| NPI | 1063789170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR BAZERBASHI Medical Doctor 732-888-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA072160000) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |