| NPI | 1407953144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUGANTHINI UMAKANTHAN Owner 201-512-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ MA066415) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2008-08-25 |