| NPI | 1881288579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA THOMAS CEO 201-614-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2022-02-15 |