| 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 |