| NPI | 1831206176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA MODESTO Internal Medicine 201-837-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA62208) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |