| NPI | 1023328614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIRAMACHANDRA R KOLLA Owner 973-689-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07867500) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |