| NPI | 1346365905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAN SIVENDRA President 201-968-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06930200) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-08-01 |