NPI | 1225072549 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN DAVID RAPHAEL President 856-429-6267 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA040698) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-08-22 |