| NPI | 1265530851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LYN CAMISO Operations Manager 609-581-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA04107600) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA05766300) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07228400) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07884700) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA04107600) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA04107600) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA05766300) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA07228400) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA07884700) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |