| NPI | 1437547890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA RADHAKRISHNA Pediatrician 732-752-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 0101028295) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |