| NPI | 1962698597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO A CRISCITO Owner 973-450-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA02510600) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2009-06-17 |