| NPI | 1154841666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL D MARTIN Cheif Manager 862-637-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |