| NPI | 1952744872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUDCHONG SRISETHNIL President/Physician 973-278-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ MA30779) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |