| NPI | 1992820435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESREL A AVILA Medical Direcxtor 973-278-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA42261) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-04-28 |