| NPI | 1679438766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVARAMAN K GOUNDER Owner/Managing Member 908-361-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 207X00000X Orthopaedic Surgery | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| 208200000X Plastic Surgery | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |