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 |