| NPI | 1811206667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DITTAMO Medical Billing Specialist 201-969-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |