| NPI | 1386652808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JACK Billing Supervisor 856-782-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-09-11 |