| NPI | 1295192193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN C CANAVAN Cpnp Pc 856-979-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 26NJ00616800) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |