| NPI | 1760635791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD K GUPTA Owner 732-863-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ ma56132) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |