NPI | 1417472101 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY KONDAS Officer 973-251-1132 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-08-03 |
Last Update Date | 2019-12-06 |