| NPI | 1083943872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL HUSSAIN Director 856-764-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08374000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB07370900) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2015-01-25 |