| NPI | 1578640538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETAL S SHAH Owner/M.D. 856-983-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-12-01 |