| NPI | 1588970685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE MAE CERVINI Nurse Practitioner 856-507-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: NJ 26NJ00272600) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ 26NJ00272600) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2012-01-19 |