| NPI | 1659538650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENAY LYNN MARINO Practitioner 609-463-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25mb05202000) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2010-11-04 |