NPI | 1760983696 |
---|---|
Doing Business As | WYCKOFF FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID YORIO Physician 201-560-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB07947800) |
Enumeration Date | 2018-02-26 |
Last Update Date | 2018-04-16 |