| NPI | 1659161818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALAKRISHNA KUNDURU Billing Manager 609-964-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2025-05-10 |