| NPI | 1265471999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANAA NELLY K ABRAHAM Owner 732-818-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07219300) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-05-18 |