| NPI | 1104005057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD FEENAN CFO 201-634-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |