| NPI | 1659346765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R SUATENGCO Owner/Physician 732-341-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-02-16 |