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 |