| NPI | 1104988773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKET PRASAD Director 908-755-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA06520900) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |