NPI: 1962697474 · PLAINFIELD, NJ 07060 · Primary Care Clinic/Center · NPI assigned 09/07/2007
| Authorized Official | GANDOTRA, SATYA (PRESIDENT) |
| NPI Enumeration Date | 09/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $129.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99401 | 14 | 12 | $129.80 |