| NPI | 1053766089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMRAN A MIRZA Owner 856-381-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD431989) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |