| NPI | 1356580625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NGHIEM Attending 856-438-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MB06222400) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2013-10-03 |