| NPI | 1417043423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R SANCHEZ PENA Owner 201-758-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04283700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06761000) |
| 207R00000X Internal Medicine (Licence: NJ 25MA03887500) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA04523300) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03585900) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA04283700) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA04283700) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA02636900) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA04283700) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |