| NPI | 1083801799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS BENALCAZAR Medical Director 908-353-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07504600) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |