| NPI | 1639342686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN MILLER Practice Administrator 201-487-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA07441900) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |