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 |