| NPI | 1912954132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA M MAIMON Owner 732-360-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07825200) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2023-02-20 |