| NPI | 1487891792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM AHMADI Owner 973-715-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL me89989) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2014-04-22 |