| NPI | 1972720068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTI MATTA Physician 201-918-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA65796) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-10-19 |