| NPI | 1093142895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC AVEZZANO President 201-967-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA05477400) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA0806440) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |