| NPI | 1861671737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY RUSSO Physician 973-736-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA44815) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2012-07-20 |