| NPI | 1831300276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE R. GUTIERREZ Physician 908-630-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA07668700) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |