| NPI | 1881738235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY J. GRAHAM Billing Manager 973-432-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA070526) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2009-08-17 |