| NPI | 1619266301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENAMUL HOQUE President 347-653-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00145100) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |