| NPI | 1346615333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMAN A CIERVO CEO 856-783-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2017-10-19 |