| NPI | 1124069091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES N CELANO Owner 772-562-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0050599) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-09-28 |