NPI | 1588764500 |
---|---|
Former Legal Business Name | SIMONE & CONDO, PA |
Entity Type | Organization |
Authorized Contact | DOMINICK CONDO Medical Director 201-436-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA041384) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2010-09-09 |