| NPI | 1487715090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN T HUBBARD Neurology 856-488-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 25MB07214800) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |