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 |