| NPI | 1013049600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM NANDIWADA President 732-625-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ NJ57313) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA57313) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2010-05-04 |