| NPI | 1750336392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN IRA BLANK President 856-939-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06092600) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-01-02 |