| NPI | 1205168275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH KOPELAN Sole Owner/Physician 973-474-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08005100) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |