| NPI | 1942826524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKHIL SAHA Medical Claim Specialist 908-533-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |