NPI | 1902215387 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY KONDAS Officer 973-251-1132 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2014-08-11 |
Last Update Date | 2021-03-08 |