| NPI | 1487432936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PECORA Owner 609-744-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 183500000X Pharmacist | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |