| NPI | 1164743993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK REFAIE Owner/Physician 551-208-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08496800) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |