| 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 |