| NPI | 1528206695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D GLASOFER Owner 856-772-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 25MA04097700) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-02-03 |