| NPI | 1851601330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA DEORA Physician/Owner 732-274-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06750500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB06893200) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2013-04-30 |