| NPI | 1366827362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMIT BHUTANI Director 856-520-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D72536) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2016-12-22 |