| NPI | 1346686516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REY TANEO VILLANOBOS Managing Member 732-828-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2023-12-21 |