NPI | 1790678753 |
---|---|
Entity Type | Organization |
Authorized Contact | KARUNA S PODDAR Owner 732-659-1051 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
202D00000X | |
207R00000X Internal Medicine | |
Enumeration Date | 2025-05-29 |
Last Update Date | 2025-05-29 |