| NPI | 1821096504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMAVATHI JONNALAGADDA President 201-420-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07442900) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06324000) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-01-25 |