| NPI | 1669855565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENICO ROTOLI Attending Physician 551-486-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25mb09391900) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |