| NPI | 1073688511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDO V FONTICIELLA President 870-866-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E0097) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2018-04-10 |