| NPI | 1215471743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JACKSON Physician/Owner 201-997-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |