| NPI | 1215275433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MOUGANIS Director Provider Enrollment 856-686-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2025-11-19 |