| NPI | 1770930984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMUYIMEN IGBINOSA Owner 856-503-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD042036) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |