| NPI | 1609967744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G HOLTZCLAW Owner 856-686-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-05-09 |