| NPI | 1063808665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E DARE Billing Manager 856-221-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05665700) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |