| NPI | 1588421366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAMASH RAJA Md/CEO 856-223-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-09-03 |