| NPI | 1124202031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA M MOHIUDDIN President 1847-390-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |