| NPI | 1912060930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINUTHA RAJASEKHARAIAH Owner 732-952-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07380600) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |