NPI | 1073749222 |
---|---|
Other Name | DESTYONCALL HEALTHCARE |
Entity Type | Organization |
Authorized Contact | GERDA AUGUSTIN Pediatrician 856-627-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2009-06-02 |
Last Update Date | 2009-06-02 |