| NPI | 1336335413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DENNIS HERNANDEZ Physician 201-944-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA07477500) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-10-11 |