| NPI | 1467544015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID J BADDOURA Owner 973-777-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA33827) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-12-12 |