| NPI | 1346071909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATHAGAT CHAWALA Doctor 609-977-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 261Q00000X Clinic/Center | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |