| NPI | 1134528532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GRIFFIN Credentialing Coordinator 856-356-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 00178701) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |