| NPI | 1831213693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MARCELO BENALCAZAR Medical Director 908-353-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07504600) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-03-17 |