| NPI | 1588680110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO JOSEPH DIVAGNO Practitioner 201-845-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA69173) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-11-04 |