| NPI | 1912352642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA GOHEL Owner 732-822-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA07451500) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NJ 25MA07451500) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |