| NPI | 1407929185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHADEVAN G KRISHNAN President 732-901-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA045854) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-11-28 |