| NPI | 1669896007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA A SANDOVAL Billing Manager 877-253-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA07628800) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |