| NPI | 1861719718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITHA SUBRAMANIAN Physician 732-491-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07857500) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-05-27 |