| NPI | 1568822351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PEPOSE President 848-525-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |