| NPI | 1528070901 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | DIANE WARNER GAUKLER-GEORGE Office Manager 609-844-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA 049502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MD 044787L) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |