NPI | 1164651410 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LEVANDOWSKI President 609-896-9190 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MA0033347) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NJ 25MA08837900) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2014-06-24 |