| NPI | 1417393943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS YON LEE Owner 856-439-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 25MA07756900) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2014-10-24 |