| NPI | 1679657902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S SHIELDS Physician/Owner 856-691-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA55507) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |