| NPI | 1174709653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALY FISHBEIN President 973-736-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA05902900) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ MA07148100) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |