NPI | 1508315110 |
---|---|
Entity Type | Organization |
Authorized Contact | OPEYEMI ABIODUN AWE Director 908-220-4142 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q7009) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX Q7009) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2016-09-23 |