| NPI | 1174786842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVKEKKUMAR V DASONDI Owner 609-652-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08110600) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-12-04 |