| NPI | 1568776474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN D FORTUNATO Provider/ Owner 973-744-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ MA3224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA32224) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |