| NPI | 1487922118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMA KANIKCHARLA Owner 732-252-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08291800) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2020-10-21 |