| NPI | 1366500530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MELSKY Doctor 973-692-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA 67715) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ MA56945) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-06-16 |