| NPI | 1174993752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAYAK D BODAS Dr. 973-623-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 25MA03353800) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |