NPI | 1891720827 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN LAURI LEEN Treasurer 973-992-6487 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA01920400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA01924700) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2008-03-07 |