| NPI | 1457860249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KOLESK SVP Medical Affairs 609-914-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-12-01 |