| NPI | 1770971103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA RADAKRISHNA Pediatrician 732-752-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 0101028295) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |