| NPI | 1669073318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO DE LOS SANTOS Cito 201-233-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2025-01-09 |