| NPI | 1194367748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE VELASQUEZ Administrator 201-641-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |