| NPI | 1154704831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROTH RILEY Owner/President 201-794-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-07-21 |