| NPI | 1134569049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED REZK Owner 973-356-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME105520) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME105520) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME105520) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-09-23 |