| NPI | 1962686188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON CARVAJAL President 201-262-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 1157921) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |