| NPI | 1528024114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RITTER HERMANSON Administrator 856-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22422) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2023-06-22 |