NPI | 1053425090 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE GRIFFIN Credentialing COO Rdinator 856-356-4025 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
Enumeration Date | 2006-08-18 |
Last Update Date | 2013-12-18 |