NPI | 1497405294 |
---|---|
Entity Type | Organization |
Authorized Contact | NALIN E RANASINGHE Owner 732-917-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 207P00000X Emergency Medicine |
208D00000X General Practice | |
Enumeration Date | 2022-03-25 |
Last Update Date | 2025-06-18 |