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 |