| NPI | 1598442600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHER MODARRESSI Owner 609-951-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-08-07 |