| NPI | 1528259264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNNE FALKOWSKI Officer/Practice Administrator 856-985-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB03338900) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NJ 25MB03338900) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |