| NPI | 1588069546 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID EVANS Owner/Physician 609-440-7386  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS-11552)  | 
| Enumeration Date | 2014-11-01 | 
| Last Update Date | 2014-11-01 |