| NPI | 1568659670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAWK Authorized Official 856-451-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2020-11-19 |