NPI | 1124254552 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERITA MONAI LATIMORE-COLLIER Md 856-964-5569 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: NJ 25MAO8519200) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2009-07-30 |