| NPI | 1295724938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKUMAR VENKATA RAYASAM President 908-454-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ MA38051) |
| Enumeration Date | 2005-10-16 |
| Last Update Date | 2020-08-22 |