| NPI | 1699805978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BENIQUEZ PACHECO Credentialing Supervisor 201-833-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-05-08 |