| NPI | 1780989103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATHIBHA POTHARLANKA Owner 609-298-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08401100) |
| Additional Taxonomies | 208800000X Urology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2011-05-05 |