| NPI | 1770096547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JOHN MURAN President 888-315-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2019-07-23 |