| NPI | 1154585545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVINENI PRASAD Pediatric Physician/Owner 609-567-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA03254600) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2012-10-05 |