| NPI | 1255378790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMANT SHAH Owner 201-420-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA039176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03322100) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |