NPI | 1073767851 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISSA ANN FAVATA President 856-216-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ 25MA04036200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04036200) |
207R00000X Internal Medicine (Licence: PA MD046205L) | |
207R00000X Internal Medicine (Licence: DE C1-0004751) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD046205L) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: DE C1-0004751) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 253026-1) | |
207R00000X Internal Medicine (Licence: NY 253026-1) | |
Enumeration Date | 2008-11-06 |
Last Update Date | 2014-07-08 |