| NPI | 1487624649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI WORKMAN Director Of Managed Care 856-566-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| 2080C0008X Pediatrics Child Abuse Pediatrics | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-04-16 |