| NPI | 1245424696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY MYSH Md Owner 973-579-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA065097) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-12-03 |