| NPI | 1023347226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMENA MARY KONEN Nurse Practitioner 856-264-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA SP007605) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |