| NPI | 1780638940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R REISNER President 201-332-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-07-21 |