| NPI | 1013949189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMA MANDALAPU President 609-641-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA65706) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-02-06 |