| NPI | 1659580801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA CANNADY Director Of Financial Services 856-691-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |