| NPI | 1891044608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY GOLDMAN Office Manager 2015-568-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ mao2939200) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |