| NPI | 1164541660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MCINTYRE Office Manager 856-424-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05490300) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA07238000) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA02298200) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA03710500) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |