| NPI | 1699159335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F BONAMO Administrator 973-322-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 34956) |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |