| NPI | 1487994802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A PRATE O PT Ometrist 856-228-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 27OM00065300) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-08-17 |