| 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 |