| NPI | 1659672970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANIE S RAMACHANDRA RAO Physician 732-797-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07491200) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2019-01-11 |