| NPI | 1235327479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED R. TAWADROUS Pres. 347-677-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA07842400) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |