| NPI | 1801850243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL JORDAN President 201-510-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| 2085R0001X | |
| 291U00000X Clinical Medical Laboratory (Licence: NJ 00042753) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-04-21 |