| NPI | 1386775393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN WAXMAN President 201-997-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA03630700) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-07-01 |