| NPI | 1831384486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANICKAM GANESH President 973-669-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03057000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA03057000) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |