| NPI | 1497701593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BREGGAR Office Manager 856-795-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA05303200) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |