| NPI | 1386893337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ANN VIGGIANO Executive Director 609-599-5475 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2016-10-04 |