NPI | 1225134695 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE J AMBROSIO Medical Director 973-857-8995 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA037714) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2009-04-02 |