| NPI | 1972804789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN PEREZ Medical Director 201-866-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07607300) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2011-06-16 |