| NPI | 1528365186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM JAY MIRMANESH Managing Partner 609-238-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |