NPI | 1639601024 |
---|---|
Entity Type | Organization |
Authorized Contact | SAJ KHAN Manager 732-726-0020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |