| NPI | 1376164400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNA SHEPHERD Administrator Of Physician Services 856-690-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |