| NPI | 1225377567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO LABOY CEO 609-238-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL OS11253) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |