NPI | 1598062796 |
---|---|
Former Legal Business Name | GERIATRICS AND INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | ALLA KATSEVA Physician 732-238-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA07544800) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ 25 MA07544800) |
Enumeration Date | 2011-02-24 |
Last Update Date | 2023-10-30 |