| NPI | 1417048471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R SANCHEZ PENA Owner 973-278-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03887500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06761000) |
| 207R00000X Internal Medicine (Licence: NJ 25MA04523300) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03585900) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA03585900) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07405000) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA02636900) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |