| NPI | 1427414168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA SRIVASTAVA Owner 772-567-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME101443) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-03-16 |