| NPI | 1306904503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISTVAN Owner 856-686-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 525169) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-04-26 |