| NPI | 1215245154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH T. DEFUSCO Owner 973-994-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ MA23958) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |