NPI | 1164111928 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZA DELAFUENTECHAVEZ COO 908-687-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2023-05-05 |
Last Update Date | 2023-05-05 |