NPI | 1902314925 |
---|---|
Entity Type | Organization |
Authorized Contact | RITU SURI President 201-725-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-06-16 |