| NPI | 1003287715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKUNDHA BELLIAPPA MANEYAPANDA Owner 862-414-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09694000) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-12-29 |