| NPI | 1386111524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVAPRASAD MARULENDRA President 609-477-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |