NPI | 1427101088 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH L DESTEFANO Ownder 609-652-2516 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA25990) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-12-17 |