| NPI | 1689990715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIRA MADAPATI Owner 908-768-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA07427400) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |