NPI | 1497108799 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAJAKTA V AVHAD Owner 732-565-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NJ 25MA09001500) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 257357) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-09-06 |