| NPI | 1083021703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHIANA WALKER Office Manager 609-347-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ MA37937) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |