| NPI | 1952142127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDAN BENNY GOLDSTEIN Authorized Official 732-961-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-07-31 |