| NPI | 1164725156 |
|---|---|
| Doing Business As | FPA VISITING DOCTORS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A JABS Chief Executive Officer 212-241-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |