| NPI | 1215187141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER KONCHAK Lead Physician 856-757-3993 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NJ 25MB06099100) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |