| NPI | 1013006121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MARTIN Medical Director 856-631-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G9769) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |