| NPI | 1942475603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B. RAJAPAKSE CEO 732-634-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA028742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08277300NJ) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-05-29 |