NPI | 1841978004 |
---|---|
Entity Type | Organization |
Authorized Contact | ABRAHAM MALKIN President 725-888-8992 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-07-07 |
Last Update Date | 2023-07-07 |