| NPI | 1366442410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MONTANO Billing COO Rdinator 7278-574-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2013-05-16 |