| NPI | 1538161377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S BOOTH Office Manager 856-935-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA02960300) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA02960300) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-10-10 |