NPI | 1477213106 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW PECORA Do 609-521-4746 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
207R00000X Internal Medicine | |
225100000X Physical Therapist | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2021-12-21 |
Last Update Date | 2022-08-11 |