| NPI | 1346009040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEGOWSKI Operations 609-703-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-09-26 |