| NPI | 1477880193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUBCICH Doctor/Owner 856-228-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 38MC00597500) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MZ00041700) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-18 |