| NPI | 1578051116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE THOMAS VP Of Medical Affairs 908-847-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-05-08 |