| NPI | 1740306877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALITHA VENKAT GUMIDYALA Medical Director 732-780-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA070638) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |