| NPI | 1629206875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHETAL M MANSURIA Physician/Owner 973-294-2212 |
| Organization Subpart ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MA71413) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |