| NPI | 1447580766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIBY E HANNA Owner 201-798-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-04-27 |