| NPI | 1417079062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEZZEL GREEN President 973-669-1111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA40057) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-07-13 |