| NPI | 1265565659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY ROBERT ROSSMAN Co Medical Director 609-924-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |