| NPI | 1386682094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J. MAZZARELLI Chief Medical Office 856-968-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-07-27 |