NPI | 1184962227 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID P VISCO President And Sole Member 267-784-5459 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA08353400) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08353400) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA08353400) | |
Enumeration Date | 2013-01-24 |
Last Update Date | 2013-01-24 |