| NPI | 1306350830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAI SHOSHANI Owner/Physician 201-431-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MA09267900) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |