| NPI | 1144777376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA NALLAPAREDDYGARI President 732-444-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09671900) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |