| NPI | 1194921650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. GOLDIS Owner 856-346-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ MB57688) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-07-15 |