| NPI | 1669519302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE P MONTGOMERY Physician Owner 856-772-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA05658700) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-01-28 |