| NPI | 1609049501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCHER KATEBIAN Medical Doctor 201-342-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA02875800) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA02875800) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-06-19 |