NPI | 1366827313 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY DAISY CANTEY Owner 973-532-7898 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07425300) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07425300) |
Enumeration Date | 2015-07-20 |
Last Update Date | 2015-08-18 |