| NPI | 1235429911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAISA SALTANOVICH Office Manager 201-833-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 54741MA) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-18 |