NPI | 1336373539 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JUSTIN GALLO President 201-886-8989 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA54263) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2014-10-17 |