| NPI | 1316132467 |
|---|---|
| Doing Business As | SKMEHANDRUMDPA |
| Entity Type | Organization |
| Authorized Contact | SUSHIL K MEHANDRU Md Pressident 732-974-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ ma034596) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-09-22 |