| NPI | 1215123732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DEMETRIOS PANAGIOTOU Medical Director 201-447-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MAO7320300) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2013-05-28 |