| NPI | 1710404884 |
|---|---|
| Former Legal Business Name | ISHA MEDICAL CARE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | GEETA YALAMANCHI Owner 732-423-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-02-27 |