| NPI | 1104248822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA BAI SATHYANARAYANA SINGH Sole Proprietor 508-314-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7202) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |