| NPI | 1255584405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA MODI Owner 973-740-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |