| NPI | 1497888689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCMULLEN EVP Managed Care 856-342-7263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-08-30 |