| NPI | 1336411958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABEENA FARHATH Owner 856-874-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA08176100) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-02-01 |