| NPI | 1225810492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED YARAZAVI Billing Manager 973-773-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |