| NPI | 1316065378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUTKIN Owner 973-597-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06846000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA02035200) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |