| NPI | 1700258365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WANG President 973-671-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ 25MA07658700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07658700) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2022-06-14 |