| NPI | 1619216876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S. KOWAL President 973-928-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09082500) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA09082500) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |