| NPI | 1104133362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT LIQUORI Managing Member 201-724-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-14 |