| NPI | 1821024308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BIENSTOCK Do/Director 973-427-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MD06430900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MB064309) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-07-06 |