| NPI | 1306372578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MCQUEARY Executive Director 856-872-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |