| NPI | 1255535910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN IDLER Practice Administrator 856-342-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB064729) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-06-02 |