| NPI | 1659567725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN E OWEN Billing Manager 856-384-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA07132600) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA34314) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |