| NPI | 1548440951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JANE WILLIAMS Office Manager 856-547-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA039291) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |