| 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 |