| NPI | 1275560195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN DOUGHERTY Billing 201-263-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA02891700) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |