| NPI | 1770737413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY MEDAVARAM VARMA Managing Member 732-671-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2019-11-21 |