| NPI | 1548274384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BODEN Office Manager 201-869-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03815600) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-07-21 |