| NPI | 1649391988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCMULLEN EVP Managed Care 856-342-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-09-11 |