| NPI | 1104880061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREAS D ROTSIDES Owner 973-328-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05010400) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA05010400) |
| Enumeration Date | 2006-04-16 |
| Last Update Date | 2009-09-08 |