| NPI | 1942233747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEMAYO Owner 973-667-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA059660) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 20175) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-09-09 |