NPI | 1508297672 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY STUART SLOAN Medical Doctor/Owner 201-957-5864 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 1777709-01) |
Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: NY 177709-01) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2013-11-27 |