| NPI | 1114101037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREKHA COLLUR Owner 732-264-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07128400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00562000) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-04-09 |