| NPI | 1528523040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI WORKMAN Director Of Managed Care 856-566-6831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-03-25 |