| NPI | 1588287957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HADDAD Owner 201-306-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |