NPI | 1730106196 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM JARRETT Cmo, M.D. 201-833-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MA06291500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03273300) |
174400000X Specialist (Licence: NJ 25MA05312800) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2013-05-01 |