| NPI | 1194495358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMA KANIKICHARLA CEO 973-589-7337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |