| NPI | 1811231327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZZAM BAKER Co Owner 201-706-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |