NPI | 1700386109 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL WARDLAW BURKE Director 201-694-2106 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0084476) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-02-13 |