| NPI | 1740301605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCMULLEN EVP Managed Care 856-342-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |