| NPI | 1639296098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDANI DHAMMIKA FERNANDO Medical Director 609-919-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA6093300) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |