| NPI | 1760080196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S SHAKER Owner 201-343-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |