| NPI | 1518154244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NELL RUDD Founder President 973-674-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03376500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA03376500) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |