| NPI | 1265779771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO ENRIQUEZ Provider/Owner 856-874-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05198500) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |