| NPI | 1255751285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M REGIS Owner 609-272-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA05992900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA07552100) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |