| NPI | 1962707174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR K NAYER President 772-879-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME20859) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |