| NPI | 1598222960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR PATEL Credentialing Coordinator 908-966-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |