| NPI | 1700124922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA TOME Billing 973-921-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA5507600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA04456500) |
| 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00211500) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |