| NPI | 1063842383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIUS M THOMPSON Owner 732-905-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA04683000) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |