| NPI | 1538425681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJANA DRAVID Doctor 732-667-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07956900) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |