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 |