| NPI | 1114729571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGONNA ONYEAGORO Owner 973-710-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |