| NPI | 1184050940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE W BERESFORD Owner 973-751-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04864500) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |