NPI | 1528199890 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY DYKES C E O 973-429-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 103TC0700X Psychologist Clinical |
207RS0010X Internal Medicine Sports Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-11-21 |