| NPI | 1063131712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY MCILLWAIN Authorized Official 609-575-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-06-12 |