| NPI | 1326622069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIEZER FRIEDMAN Managing Member 732-886-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-11-16 |