| Organization Name: | SR MEDICAL CENTER LLC |
| NPI Number: | 1841487923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARITHA REGULAPATI (PRINCIPAL) |
| Mailing Address: | 462 New Rd Monmouth Junction |
| State: | NJ US |
| Postal Code: | 088522653 |
| Phone Number: | 7322742557 |
| Fax Number: | 7322746777 |
| NPI Enumeration Date: | 10/02/2007 |
| NPI Last Update Date: | 01/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |