| NPI | 1851597454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY HALLAC Office Manager 201-567-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ MA34540) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2011-06-29 |