NPI | 1316331978 |
---|---|
Entity Type | Organization |
Authorized Contact | GASPAR ROSARIO Nurse Practitioner 844-633-5686 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304234) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00162800) |
Enumeration Date | 2015-03-22 |
Last Update Date | 2015-03-22 |