| 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 |