NPI | 1962774018 |
---|---|
Entity Type | Organization |
Authorized Contact | TANUJA TIRUNAGARI VEDERE Physician Owner 772-335-7888 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME76026) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-02-06 |