| NPI | 1982967758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FREDY LUNA Physician 201-543-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07806100) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-09-27 |