| NPI | 1629393772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANTHI PERIASAMY Owner 732-563-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07322300) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-06-03 |