| NPI | 1154846020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES BETO Authorized Official 844-324-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10008600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07997300) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB09025200) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |