Organization
EXCEL FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRILAKSHMI SUBRAMANIAN M.D. (MANAGING MEMBER)
(732) 754-6894
Entity
Organization
Contact information
Practice address
400 US HIGHWAY 130, EAST WINDSOR, NJ 08520-2792
(609) 301-0515
Mailing address
25 MAXWELL RD, MONROE TOWNSHIP, NJ 08831-2227
(732) 754-6894
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA08794200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288926
—
NJ
Enumeration date
11/18/2015
Last updated
11/23/2015
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