| NPI | 1053555193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENIVASA R NALLA Manager 732-570-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25ma07858100) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |