| NPI | 1114210689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAROSLAV SIDLETSKYY Sole Member 908-686-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-19 |