| NPI | 1750101713 |
|---|---|
| Doing Business As | PHYSICIAN TRUST |
| Entity Type | Organization |
| Authorized Contact | STAVAN PATEL Medical Director 973-818-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-12-26 |