| NPI | 1619244514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A MAZZACCARO Office Manager 973-729-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07206600) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2012-08-28 |