NPI | 1770329450 |
---|---|
Other Name | N/A |
Entity Type | Organization |
Authorized Contact | ALEJANDRO DAVID PEREZ Administrator 201-895-2091 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-07-02 |
Last Update Date | 2025-07-03 |