| NPI | 1245269166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA DASHEVSKY Medical Director 609-683-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06229500) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |