| NPI | 1508168709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILRUBA KHANAM Family Medicine Physician 201-763-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA07937600) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |