| NPI | 1760490148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA POTLURI Physician 908-218-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ MA07137500) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |