| NPI | 1245563758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVANI DURGA VIETLA Physician 732-781-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NJ MA069862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA069862) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2016-04-02 |