| NPI | 1407860760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANO J BISPO President 856-205-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MA07269600) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2013-06-12 |