NPI | 1336866474 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVI Y DESAI Owner/Physician 732-491-7164 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0200X Internal Medicine Critical Care Medicine | |
363LA2100X Nurse Practitioner Acute Care | |
Enumeration Date | 2022-10-19 |
Last Update Date | 2025-06-05 |