| NPI | 1205198850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SAMPSON Billing Manager 908-967-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25ma08425300) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |