| NPI | 1629348792 |
|---|---|
| Doing Business As | THE VILLAGE DOCTOR AT CHERRY HILL |
| Entity Type | Organization |
| Authorized Contact | KENNETH J GRIMM Member 734-645-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-07-05 |