| NPI | 1477972859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN KOSIBOROD Owner/President 201-982-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25 MB07566200) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |