| NPI | 1184888091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJASHREE KANTHA Medical Doctor 201-445-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07366300) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-03-25 |