| NPI | 1114173028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETA YALAMANCHI President 732-667-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA08109500) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |