| NPI | 1386128403 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MEKHALA ASHOK MATHURE Certified Internal Medicine 732-553-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-12-26 |