| NPI | 1659582591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIA YU CHAO Doctor 856-582-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-09-11 |