NPI | 1750745519 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY A SHAMAN Director 856-533-0484 |
Organization Subpart ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: NJ 25MJ00008800) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2016-05-08 |