| NPI | 1770508319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL RENAE DANTIS Enterprise Provider Enrollment 609-238-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-05-06 |