| NPI | 1003967662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M. PETRUNCIO Physician 856-488-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB4695500) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-04-28 |