| NPI | 1629308895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGWA ISMAIL HAFEZ Owner 973-790-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ MA08232200) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |