| NPI | 1750497772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOBA RAVICHANDRAN Member 646-284-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA6300000) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |