| NPI | 1396987715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM DANIEL REDLICH Sole Member 609-790-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MA07522900) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |