| NPI | 1154662153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHIKA MADDALI Owner 973-678-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07474500) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |