| NPI | 1295864692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE COBIN MARGALLO Partner 856-228-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA05665900) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |