| NPI | 1336345107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR PRIVEN President 732-254-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA07691500) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-02-15 |