| NPI | 1174888143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEERA MAGANTI Owner 732-406-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08324800) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2022-06-09 |