| NPI | 1891097721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMTA B GUPTA Owner And Physician 908-834-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08120400) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |