| NPI | 1861146201 |
|---|---|
| Doing Business As | WATERS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PENELOPE KOKKINIDES Chief Administrative Officer 201-270-7825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-08-16 |