| NPI | 1992908263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH YANNETTE Administrator 201-837-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB06920900) |
| Additional Taxonomies | 2084N0600X (Licence: NY 227852) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-12-31 |