| NPI | 1417514662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CUTOLA Im Residency Coordinator 201-858-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |