| NPI | 1730129594 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAMES J FLOWERS Director 856-848-3817 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant | 
| Additional Taxonomies | 363L00000X Nurse Practitioner | 
| Enumeration Date | 2006-06-08 | 
| Last Update Date | 2015-12-02 |