| NPI | 1932922077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWEEP MEHTA Practice Manager 732-710-7566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-02-11 |