| NPI | 1518394881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M CANDIA Director Of Credentialing 856-872-7053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2021-02-18 |