| NPI | 1174684781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE S FORMAN President 856-348-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB02310600) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |