| NPI | 1568772523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA GRINCHENKO Owner 201-282-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25mb08252900) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |