| NPI | 1205883782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BETH TINKELMAN Billing Manager 856-616-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ MD2500056788) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD045495M) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA06559700) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD062295L) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-04-20 |