NPI | 1215236047 |
---|---|
Entity Type | Organization |
Authorized Contact | BYONG PARK President & Medical Director 201-460-0063 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04594000) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MA03065000) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2011-03-18 |