| NPI | 1144497165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO E PELLETIER Owner 201-869-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA04256000) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-18 |