| NPI | 1417112459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROSLAW S PONDO Owner 201-896-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07479000) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA07479000) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |