| NPI | 1033364054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYA BHATIA Owner 917-703-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25ma07871300) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-12-15 |