| 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 |