| NPI | 1902927874 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | ROWEN GUMAPAS DIANO Owner 973-744-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ ma69300) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-08-13 |