| NPI | 1629298468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD STEVEN COHEN Owner 609-448-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB04999100) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-09-01 |