| NPI | 1215479308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK O SULLIVAN Owner 856-625-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MB08239800) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |