| NPI | 1972815710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUDCHONG SRISETHNIL Physician 973-279-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03077900) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |