| NPI | 1619109683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MANCINA Owner 866-390-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0421587) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-09-11 |