| NPI | 1427342260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIACOMO MANGIARACINA Owner 609-462-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05739000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD44780L) |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-07-30 |