| NPI | 1205897667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJULA NAYYAR Physician 772-342-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME39359) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME30367) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2010-10-27 |