NPI | 1245451988 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN PAUL BOORUJY President 973-422-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NJ 25MB06228000) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-09-10 |