| NPI | 1194063677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A BERTHA Owner 860-904-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ 25MB05719100) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |