NPI | 1174749576 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD M BRAVERMAN President 856-429-2464 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03909300) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |