NPI | 1982486577 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY JOHN WALKO Owner 201-350-4909 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |