| NPI | 1134563802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR GEFTER Medical Director 201-468-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: NJ 25MA05661500) |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine (Licence: NJ 25MA06438600) |
| 207QA0401X Family Medicine Addiction Medicine (Licence: NJ 25MA06438600) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: NJ 25MA06438600) | |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NJ 25MA06438600) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: NJ 25MA05661500) | |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: NJ 25MA05661500) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA05661500) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: NJ 25MA05661500) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2015-01-09 |