| NPI | 1114327186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B HOLDER Provider/Owner 973-839-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |