| NPI | 1801319496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAY NUSBAUM Owner/President 973-998-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NJ MA061479) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |