| NPI | 1366077349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M COX Business Office Manager 856-740-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-02-14 |