| NPI | 1699079129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILD President 917-971-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25ma08328000) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |