| NPI | 1598011207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARGHESE PAUL PT (Co Owner) 848-208-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA01145500PT) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2021-10-27 |