| 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 |