NPI | 1063566636 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAIR ALEXANDER BERGEN President 609-484-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25ma04675800) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-08-22 |