| NPI | 1760920995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2023-03-29 |