| NPI | 1063971562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD FRIEDMAN Manager 856-669-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 2472R0900X |
| 251E00000X Home Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QR0200X Clinic/Center, Radiology | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 335U00000X Organ Procurement Organization | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |