| NPI | 1821370149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO BERDU Credentialing 201-758-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07147400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07147400) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |