| NPI | 1932657145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KUMAR PONNAPPAN Principal 609-601-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ R24566) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2019-11-08 |