| NPI | 1093961237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LANZA Owner 732-991-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ 25MB03658300) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2023-09-14 |