| NPI | 1689814816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LAWRENCE Integration Specialist 609-584-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ MA69882) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |