| NPI | 1891124996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBHAMVADA NIHALANI Md 732-429-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |