NPI | 1659586022 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK SANTANGELO Medical Director 973-904-9898 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA069326) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MA069326) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2008-08-21 |