| NPI | 1265862619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALANIE MENDIS Owner 908-787-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08631100) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |