| NPI | 1487010096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART MARTIN WIGGINS President/CEO 609-929-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-07-13 |