NPI | 1407893662 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREI LOGVINENKO President 201-568-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA67595) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA63969) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2011-01-13 |