| NPI | 1205714094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDR ZASLAVSKY Medical Director 856-315-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-10-29 |