| NPI | 1720306509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN VASILE Owner 855-433-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208M00000X Hospitalist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2017-01-17 |