| NPI | 1144484866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BENIQUEZ PACHECO Credentialing Supervisor 201-833-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA03841900) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2024-02-29 |