| NPI | 1073910055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KOLESSA President 732-425-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 254294) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-01-21 |