| NPI | 1447622402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WACIEGA Managing Member 973-630-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07201000) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2024-09-17 |