| NPI | 1588247233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KASPAR Nurse Practitioner/Partner 856-938-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |