| NPI | 1770797144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FLEMING President 856-546-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ MA46720) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |