| NPI | 1093182495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM MCDOUALL CEO 856-451-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 26NO08575500) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |