NPI | 1497075527 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVI HAJEEBU Practice Manager 215-768-2265 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07827400) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 26MA08374000) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2010-10-21 |