| 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 |