| NPI | 1093220196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GRETTA BERNARD Family Nurse Practitioner 856-625-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00558800) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-06-16 |