| NPI | 1720144280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAED A JITAN Owner 732-946-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA07843100) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-03-07 |