| NPI | 1598170417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NICHOLAS KROME Physician 856-797-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: NJ 25MB07964500) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |