| NPI | 1770093890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE LEE Owner 908-315-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-12 |