| 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 |