NPI | 1215138854 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN F. CASTILLO Owner 201-271-1770 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA02287200) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA02287200) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2025-09-11 |