| NPI | 1154483238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L NEWELL Business Mgr 856-237-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA61324) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |