| NPI | 1174110100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SCHRECK CEO 908-956-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |