| NPI | 1922838473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVINASH RAVILLA President 973-400-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2026-02-03 |