| NPI | 1154661593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDER MARTIROSOV Medical Directro 201-791-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MB06860100) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MB06860100) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MB06860100) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 25MB06860100) | |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NJ 25MB06860100) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MB06860100) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB06860100) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MB06860100) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MB06860100) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: NJ 25MB06860100) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |