| NPI | 1104343011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J LYONS Owner 856-384-0238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |