| NPI | 1760990279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUNITHA SHIVAPRASAD President 609-647-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB09222600) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |