| NPI | 1255352423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J. MAZZARELLI Chief Medical Office 856-968-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-07-28 |