NPI | 1174024806 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK GORDON President 868-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |