| NPI | 1073678116 |
|---|---|
| Other Name | SUBRAHMANYAM GANTI |
| Entity Type | Organization |
| Authorized Contact | SUBRAHMANYAM GANTI Physician Owner 908-822-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA04333600) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |