| NPI | 1447207477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONAK PATEL Physician Assistant 609-267-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00153700) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-12-06 |