| NPI | 1174561344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A. REAVES President/CEO 609-567-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ MBO64192) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |