| NPI | 1972945632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P SIDAMON-ERISTOFF State Treasurer 1800-829-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA09206700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09206700) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-08-05 |