| NPI | 1699196246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA T CZAJKA Sole Member/ Owner 855-739-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101247593) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2015-03-19 |