| NPI | 1952636763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUSHAR C CHAUHAN Sole Member, Owner 856-795-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |