| NPI | 1215047493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREKHA COLLUR Member 732-264-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07128400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00562000) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-06-05 |