| NPI | 1457593196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJUSHREE MATADIAL Md 917-257-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NJ 25mb07597800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mb07597800) |
| 207R00000X Internal Medicine (Licence: NJ 25mb07597800) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-05-27 |