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 |