| NPI | 1538812052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PALUMBO CEO 855-263-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |