| NPI | 1588180673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMRAN AZAM MIRZA Owner 856-381-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD431989) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-06-16 |