| NPI | 1417998303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MONTECILLO Credentialing Manager 201-666-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 1092980) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-09-10 |