NPI | 1558978577 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH JACK STORCH Owner 973-240-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LC0200X Nurse Practitioner, Critical Care Medicine | |
Enumeration Date | 2020-09-24 |
Last Update Date | 2021-08-10 |