| NPI | 1710344155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER MOAVEN CEO 973-376-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA05812900) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MA05812900) |
| 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MA05812900) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-10-11 |