| NPI | 1811159213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO BENCOSME Medical Doctor 732-442-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03742900) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-07-22 |