| NPI | 1154376903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. BLAIR SUMMERSGILL President 856-234-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA39828) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NJ MA39828) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |