| NPI | 1770329450 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MARIA PEREA BARBOSA Medical Director 201-895-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-18 |