| NPI | 1770913634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. ROBERT SMITH Owner 856-691-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA03230500) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2014-03-27 |