| NPI | 1447272562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMERIGO FEDELI Doctor 609-654-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223X0008X Dentist Oral and Maxillofacial Radiology |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-06-30 |