| NPI | 1639381858 |
|---|---|
| Former Legal Business Name | GHANSHYAM LALLA & PUSHPA LALLA PC |
| Entity Type | Organization |
| Authorized Contact | GHANSHYAM S LALLA President 973-736-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26258) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NJ 25819) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-10-21 |