| NPI | 1558850214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER KUPONIYI Owner 609-559-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |