NPI | 1639202062 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MCMULLEN EVP Managed Care 856-342-7263 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |