| NPI | 1689817074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW P. KEMENOSH Dr. 609-399-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: 26) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |