| NPI | 1528791324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KIRSTEIN Clinic Director 856-912-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-12-15 |