| NPI | 1043476963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRAVADAN T PATEL Proprietor 732-548-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05317400) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |