| NPI | 1629219670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK AMIN Owner 201-863-1797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06036000) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08374000) |
| 207Q00000X Family Medicine (Licence: NJ 25MA08048500) | |
| 207Q00000X Family Medicine (Licence: NY 242719) | |
| 207R00000X Internal Medicine (Licence: NY 189494) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2012-12-31 |