| NPI | 1558347583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GOLDSTEIN Doctor 201-866-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-12-07 |