| NPI | 1154603173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARLO BAIRD Medical Director 856-663-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 2000467-09) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-27 |