| NPI | 1184098873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRILAKSHMI SUBRAMANIAN Managing Member 732-754-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08794200) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-23 |