| NPI | 1942251178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A CARUANA Medical Director 7165-659-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-20 |