| NPI | 1376558759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITHA THUKKARAM Md 732-632-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA72859) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-12-07 |