| NPI | 1194882183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY A KELLY Office Manager 856-231-9792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NJ MB44700) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |