| NPI | 1710168232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BENIQUEZ PACHECO Credentialing Supervisor 201-833-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05680900) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08402000) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA08402000) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2023-02-22 |