NPI | 1235700691 |
---|---|
Entity Type | Organization |
Authorized Contact | KAT;HY KONDAS Officer 973-251-1132 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |