| NPI | 1013916600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G HOLTZCLAW Owner 856-686-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 10041654) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-12-30 |