| NPI | 1639190705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS PAVULURI Owner 732-264-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA07341500) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-03-19 |