| NPI | 1538231964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NOCILLA Practice Administrator 908-850-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06550000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA02678000) |
| 208000000X Pediatrics (Licence: NJ 25MA04754600) | |
| 208000000X Pediatrics (Licence: NJ 25MA05455400) | |
| 208000000X Pediatrics (Licence: NJ 25MA08700100) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-09-24 |