| NPI | 1891199832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIT DESAI Physician 732-493-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA07780100) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |