| NPI | 1558657692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARITHA POTLURI Director 732-379-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA08083800) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-10-27 |