| NPI | 1982659223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMHADRI M GUPTA Owner 732-421-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA06573700) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-08-27 |