| NPI | 1114971215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SCHULTZ Billing Manager 856-423-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05162900) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |